ACLS Exam A | [Latest 2026/2027 Update] Questions & Answers | Grade A | 100% Correct
Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival?
✔️Noncontrast CT scan of head
Which best describes this rhythm? ✔️Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? ✔️Measure from the corner of the mouth to the angle
of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The pt does not have any contraindications to fibrinolytic therapy. Which treatment is best for this pt? ✔️Give fibrinolytic therapy as soon as
possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt? ✔️Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? ✔️Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is
97%. Which assessment step is most important now? ✔️Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct
temperature range? ✔️At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is unresponsive. What is the next step in your
assessment and management of this pt? ✔️Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? ✔️Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? ✔️Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to this pt? ✔️Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be administered NEXT? ✔️Lido 1 to
1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this pt?
✔️Initiate targeted temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival?
✔️Noncontrast CT scan of head
Which best describes this rhythm? ✔️Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? ✔️Measure from the corner of the mouth to the angle
of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The pt does not have any contraindications to fibrinolytic therapy. Which treatment is best for this pt? ✔️Give fibrinolytic therapy as soon as
possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt? ✔️Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? ✔️Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is
97%. Which assessment step is most important now? ✔️Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct
temperature range? ✔️At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is unresponsive. What is the next step in your
assessment and management of this pt? ✔️Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? ✔️Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? ✔️Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to this pt? ✔️Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be administered NEXT? ✔️Lido 1 to
1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this pt?
✔️Initiate targeted temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting "crushing" chest discomfort. Pale,
diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
